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General NPI Number Information
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NPI Number | 1275704264
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Entity Type | Organization
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Legal Business Name | ANNE L GRADY D.O. P.A.
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Dates
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Enumeration Date | 03/18/2008
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Last Update Date | 03/19/2013
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Provider Practice Location Address
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Address Line | 8221 TEAL DR SUITE 204
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City | EASTON
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State | MD
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Zip | 21601-7227
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Country | US
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Telephone | 410-820-6871
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Fax | 410-820-0668
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Provider Business Mailing Address
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Address Line | 8221 TEAL DR SUITE 204
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City | EASTON
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State | MD
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Zip | 21601-7227
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Country | US
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Telephone | 410-820-6871
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Fax | 410-820-0668
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Authorized Official
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Title or Position | PHYSICIAN/ PRESIDENT
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Name | DR. ANNE L GRADY
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Credential | D.O.
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Telephone | 410-820-6871
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | H0047357
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License Number State | MD
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